Jobs at Delta Dental of Michigan

Manage, service, and retain assigned group clients; act as liaison among groups, agents, and consultants; resolve billing/claims/eligibility issues; support implementations, renewals, and benefit events; assist small-market growth and develop agent relationships.

Performs actuarial and statistical tasks for product and rate development, fee schedules, forecasting, and reporting. Designs and maintains data applications, compiles and analyzes data for pricing, budgeting, and filings, supports new product rating and underwriting, responds to bids, and provides internal and external reporting on claims liabilities and experience. Collaborates with other Delta Dental plans and stakeholders on rating analyses and special reports.

Support and manage the Compliance Program: develop and deliver training, monitor regulatory/document revisions, maintain document repository, coordinate audits (Medicare/Medicaid/ACA), perform risk assessment, track remediation, liaise with stakeholders, and ensure policies and procedures meet legal, contractual and regulatory requirements.

Work as an Application Development intern building enterprise business applications, AI proof-of-concepts, and modern web clients (Angular) backed by Java REST services. Gain exposure to SOA/EDA, Kafka, containerization, RPA, and LLM/OpenAI tools while applying CS fundamentals, algorithms, and communicating results to technical and business audiences.

Summer/term internship supporting enterprise application development. Work with Angular browser clients, Java REST services, and scalable backend systems. Learn SOA/EDA, REST/JSON, Kafka, containerization, RPA, and content management. Apply CS fundamentals, algorithms, and OO design while collaborating with teams and communicating technical work to business stakeholders.

The role involves administering GRC and LMS platforms, performing data analysis, developing dashboards with Power-BI, and creating applications with PowerApps. The administrator serves as a liaison among departments, providing training and supporting technological initiatives.

Provide general administrative support including correspondence, filing, scheduling and meeting coordination, phone and visitor reception, mail handling, office equipment operation, report generation, supply requests, and occasional use of the claims processing system.

Assist in designing and developing training content for Delta Dental, maintain Learning Management System operations, support audit requests, and manage reporting.

Lead compliance functions for Government Programs utilization management, ensuring adherence to URAC/NCQA standards and preparing for audits.

The role involves supporting contracting efforts, providing legal counsel, conducting research, and managing contract compliance with minimal oversight.

Analyze and report on claims processing using data analytics and visualization techniques. Develop dashboards, monitor KPIs, ensure data integrity, and support reporting requirements.

Supervise compliance operations, manage the compliance team, coordinate compliance initiatives, and ensure adherence to regulations and internal policies. Monitor compliance effectiveness and assist in audits and training.

The PCDH Coordinator oversees the Patient Centered Dental Home program, ensuring member education, managing provider relationships, and enhancing dental service utilization.

Lead analysis and resolution of encounter data issues, manage submissions, oversee compliance, and develop solutions for internal and external stakeholders.

Analyze and resolve encounter data issues, ensuring compliance and accuracy in submissions, while maintaining strong internal and external stakeholder relationships.

Supervises the Focused Review SIU teams, ensuring compliance and efficient operations. Oversees data analysis, staff development, and strengthens partnerships with stakeholders.

This role involves developing and implementing statistical models, leading data science techniques, applying machine learning to business challenges, and communicating insights to stakeholders.